How to Do It

I’m Terrified to Have Sex Because Everyone Lies About STDs

Senior woman surrounded by neon plus signs.
Photo illustration by Slate. Photo by Getty Images Plus.

How to Do It is Slate’s sex advice column. Send your questions for Stoya and Rich to howtodoit@slate.comNothing’s too small (or big).

Dear How to Do It,

I’m a 60-year-old woman who still attracts attention from others, which I desire. But I always say no, because of STDs. I do not trust men to answer me honestly about their status, and I know some men may not even know if they have an STD. My motto is better safe than sorry, so I stay at home, alone. I get by with sex toys, but I so wish for physical contact. So sad when the skin craves love. Is there any way out of this box?

—Not Out There

Dear Not Out There,

I’m seeing two possible options for you. One is to focus on intimacy and closeness, and seek out cuddling partners. Your current boundaries might not be exciting or appealing to everyone, but even one snuggling buddy would be more physical contact than you’re getting now. You can’t be the only person who craves intimate touch but is wary of or uninterested in sexual activity.

In that scenario, you’d stay within your boundaries, whatever they may be. If you’re feeling up to it, you might explore kissing. Depending on how that goes, you could even try masturbating together. Which brings me to the other possibility—allow yourself to accept some managed risk.

You can ask new partners to get a new round of STI testing. Talk with your doctor or gynecologist about what level of testing is appropriate for you, and decide what you feel comfortable asking of your potential partners. Show them your test. Ask to see theirs.

Sometimes tests can miss new infections. You can ask your partners to wait the window period—the time in which an infection can be in the body without it showing up on a test—after his last sexual interaction before testing (this is more of an option in monogamous relationships). If you decide to have penetrative sex, use condoms even though everyone has been tested. If you engage in oral sex without barriers, get your throat swabbed every once in a while. You can exercise layers of precaution for even safer sex. Testing reduces the likelihood of having sex with someone with an STD, condoms reduce transmission possibility in the event of exposure, and regular testing afterward increases the chances of management or total cure.

It’s completely up to you, and you should move slowly and be gentle with yourself. Let your emotions happen, and pay attention for signs you might be feeling overwhelmed. There’s no rush, and there doesn’t have to be an end goal other than human connection.

Dear How to Do It,

I am in my 20s and have been in a relationship with my boyfriend for a year last month. When I first met “Jim,” I felt as if I had found the person I had always dreamt of: He is very attractive, hardworking, family oriented, kind, etc. The only issue I have with our relationship is with the amount of intimacy we share, and I’m not just referring to sexually. We have sex roughly every three to four weeks, but he doesn’t really give verbal affirmation (besides “I love you” or “Miss you”), and cuddling isn’t really a thing we do. He will do things like put his hand on my leg in the car, put his arm around me when we are out, and regularly giving me “peck” kisses, but that’s about as far as our intimacy gets most of the time. I thought as we got more comfortable with each other, this would improve, but after a year, he seems very content with this. (He shows love by spending quality time with me, whereas I do verbally and physically).

When I’ve talked to my friends about this, they believe I should try to initiate more or put myself out there—I rarely ever do—but frankly the lack of intimacy has left me feeling extremely insecure about myself and left me constantly questioning everything about our relationship. It has also caused me to secretly be angry at him, and I feel myself distancing myself from him, and he has no idea. I’m too young to be in a relationship that barely has sex and lacks intimacy. I feel as if the only option I have is to bring this up to him, but I’m not even sure how. I don’t want to tell someone they need to touch me more or be more verbal with what they feel about me if they don’t want to. That just feels unnatural. But I love him very much and want to continue building a future together. What should I do? Do you think this is something that doesn’t usually get better and I’m better off leaving now, or can intimacy improve just from communicating what my needs are?

—Out of Touch

Dear Out of Touch,

I get a version of your question often, so I reached out to Logan Levkoff, a doctor, sex educator, and author of multiple books on sex and dating. She says what you might not want to hear: “I understand that people want to avoid uncomfortable conversations, but that’s just unrealistic if you want a relationship to go the distance (however you define ‘distance’).” Consider this: If you really do love and want relationship longevity with this person, is it worth holding back, crossing your fingers, and hoping that something changes? It’s not “unnatural” to tell your partner about your needs, and for him to try to meet them. He might even crave more intimacy himself.

If you’re nervous about broaching this conversation, you can set yourself up for success. Pick a good time when neither of you are rushed or stressed, and things are quiet. Foster intimacy by maintaining eye contact and arranging your body to be open—legs uncrossed or crossed toward the person you’re speaking with, arms by your sides or on your lap. Focus on your goal going into the conversation—to communicate about what you need to feel comfortable and cared for, and hear the same from your partner. Levkoff added, “If you don’t want to come out directly and say, ‘I would really love for you to do _______,’ think about asking him, ‘What do I do that makes you feel loved and appreciated? What would you like me to do more of?’ Ideally, this will initiate a conversation about your needs, too. If it doesn’t (and the question is not reciprocated), then it seems like there is a deeper underlying issue at play.”

It might not feel fun or easy, but this is part of the work of having a healthy long-term relationship. Our partners aren’t mind readers. To get our needs met, we usually need to ask for what we want. It’s absolutely normal and fine for this to feel difficult or scary at first (though it’s great and also normal if it doesn’t). I absolutely believe that intimacy can improve, and the first step is communication.

Dear How to Do It,

I am a 41-year-old woman who’s never really dated. I’ve had a few longer-term relationships (the longest lasting eight years) with men who started out as friends and then developed into something more, but I’ve never actually “dated,” as in “go out to dinner with someone you don’t know that well to see if you like each other.” As a late bloomer and an introvert, I missed the standard awkward high school and college dating scene, and now I feel like the odd ball who doesn’t know how to get started. Since the end of my last relationship, I’ve been single for the better part of a decade. In the meantime, I’ve had a couple of major blows to my self-image as a sexual person (hysterectomy and menopause, major weight gain and loss, and arthritis that makes me feel 90 years old on some days), and now live a life where I don’t meet a lot of men through work or social contacts. Add in the fact that I’m still an introvert with a touch of social anxiety, and dating starts to seem like an even bigger challenge to tackle.

I’m happy with my day-to-day life, but I miss having someone to share it with. I’m just not sure how to get started. I’ve asked my friends if they know anyone to introduce me to, but they don’t seem to know anyone who meets my criteria (I wouldn’t have thought the list is too picky: actually single, AKA not “we’re getting a divorce but haven’t done it yet”; nonsmoker; gainfully employed; responsible for own transportation; doesn’t live in mom’s basement; no active criminal or mental health issues; and so forth.) I thought about online dating, but I’ve heard so many horror stories it makes me even more nervous. My community doesn’t have any “singles” events/groups to meet people through, and I’m not really keen on trying to meet guys in bars. Do you have any advice on how/where to meet people in a low-pressure environment—I think it’s telling that all of my former relationships started out by hanging out in a group of friends—or how to start selectively dating at an age where it feels like everyone else has figured it out but me?

—40-Year-Old Date Virgin

Dear 40YODV,

A lot of people in their 30s and 40s are getting divorced after a long period of not dating. Others are just now getting their lives on track. Almost everyone is a little awkward on the dating scene. There’s something inherently awkward about sitting down with a stranger to evaluate whether you’d like to kiss each other. Consuming food in a semi-ritualized manner as an introduction. Tentatively feeling out whether to hold hands in a theater while watching the summer’s big movie. The online aspect makes the whole thing even stranger—deciding romantic and sexual interest based on a handful of photos. And yet, most of us do it at some point.

Find reasons to be where other people are. Take a class in something. Go to the park and read. Splurge for the shared coffee shop experience on the weekend. Present yourself as available—leave the headphones at home and make eye contact liberally. Make new friends as you’re able. Maybe some of them are dateable by your criteria—which I agree are not particularly narrow—or have friends who are. In other words, widen your friend circle if your friends are low on suggestions; there’s nothing wrong with what’s worked for you in the past. Remember some people are monogamous, and others are polyamorous or otherwise open. Some are classic romantic dating types, and others are buddies-with-sex types. Consider what you might be open to. It might be worth a few fairly random dates via dating app (yes, people of all ages use them) or other means to see how you feel once you’re actually on one, but if they aren’t for you, there’s no need to continue with something that doesn’t work for you.

Dear How to Do It,

I’m in a loving relationship of four years with my fiancé (both nonbinary). We don’t have sex often because of depression cutting into our sex drives, but when we do, I often find myself essentially dissociating for the experience, especially when I’m on the receiving end. I suspect this has to do with traumatic past experiences and ADHD, but I like sex with my fiancé and want to be in the moment, to enjoy the intimacy and pleasure. It often takes me a long time to come, and my orgasms are quite mild/anticlimactic, which I don’t mind, but it contributes to the ease at which I can start checking out, thinking about other things, like chores that need to be done or even just getting songs stuck in my head. How can I be more mindful during sex and focus on the moment?


Dear Present,

The short answer is to practice mindfulness regularly—no matter what area of your life you’re training yourself on those skills, the effect will likely generalize. Practice breathing when you aren’t having sex. Practice focusing on your breath while you’re breathing. Gently return your attention every time you notice that it has wandered. Do the same thing during sex. Don’t get frustrated or angry with yourself, just calmly notice that your brain has started folding laundry and return your attention to your fiancé or your body. Think of every time your mind wanders as an opportunity to practice returning your attention to what you want it focused on.

You might consider being a more active participant—depending on how your partner feels, simultaneously mutual oral or digital sex might provide enough complexity to keep you focused. It could be worth talking to an ADHD specialist about ways to manage and work with your brain, which, again, are likely to help in the bedroom if they help anywhere else.


More How to Do It

In high school, my younger sister “Eva” got very intensely into a conservative church, purity pledges and all. My brother “Josh” and I never did, and both turned out to be pretty nonreligious with unremarkable dating lives. Eva remained very involved in her church, and three months ago, at 22, she married her similarly devout husband. This past weekend, Josh informed me that our brother-in-law confessed to him (over too much to drink) that he and Eva hadn’t consummated the marriage despite multiple attempts together. He didn’t mention what kind of difficulties they were having, only that it was also his first time and he felt pretty lost. Josh was focused on getting him sober and getting him home, so the conversation didn’t continue. I feel terrible for them! I’m trying to figure out if I can say something to Eva: Do I give her an adult version of The Talk? Slide a pamphlet in her purse and run away? Josh said he would be open to talking to our brother-in-law too, if he could figure out what to say.